NPI 1053977090

Christopher Shawn Bolden

Practitioner Technician Knoxville, TN

Practice location

Address: 201 W Springdale Ave, Knoxville, TN 37917-5158
Phone: (865) 637-9711

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Registry record

NPI: 1053977090
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2019
Record last updated: 15 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.